Factors Affecting Trimester III Pregnant Women Anemia in Choosing Delivery Helpers in the 2013 Hamparan Perak Puskesmas Working Area

Oct 13, 2025 by wbrum.org 131 views

Factors Affecting Trimester III Pregnant Women Anemia in Choosing Delivery Helpers in the 2013 Hamparan Perak Puskesmas Working Area

Introduction

Anemia in pregnancy is a condition that poses a significant threat to the health and well-being of both the mother and the baby. It can increase the risk of complications during pregnancy, childbirth, and even death. Pregnant women who experience anemia require a safe and professional delivery place to ensure the safety of themselves and their babies. Unfortunately, in 2012, in the working area of the Puskesmas Hamparan Perak, there were still many pregnant women who chose to give birth with the help of infant shamans (32.2%). This is a worrying trend, especially considering that some pregnant women experience pregnancy complications such as anemia, especially in the third trimester.

Background

Pregnancy is a critical period in a woman's life, and anemia can have severe consequences for both the mother and the baby. Anemia is a condition characterized by a decrease in the number of red blood cells or the amount of hemoglobin in the blood. It can lead to fatigue, weakness, and shortness of breath, making it difficult for pregnant women to perform daily activities. In severe cases, anemia can increase the risk of preterm labor, low birth weight, and even death.

In the working area of the Puskesmas Hamparan Perak, there are still many pregnant women who choose to give birth with the help of infant shamans. This is a concerning trend, especially considering that some pregnant women experience pregnancy complications such as anemia. Infant shamans, also known as traditional birth attendants, may not have the necessary training or equipment to handle complications during childbirth. This can put the lives of both the mother and the baby at risk.

Research Objectives

The primary objective of this study is to analyze the factors that influence the decisions of pregnant women in the third trimester who experience anemia in choosing delivery helpers. This research aims to identify the factors that contribute to the choice of delivery helpers and to determine the role of knowledge, socio-cultural, attitude, family support, and socioeconomic factors in this decision.

Methodology

This study used an analytic cross-sectional design, which involves collecting data from a sample of pregnant women in the third trimester who experience anemia. The study was conducted in the working area of the Hamparan Perak Health Center, Deli Serdang Regency. The entire research population, 48 pregnant women, made into a sample. Data analysis used univariate analysis, bivariate with chi-square tests, and multivariates with multiple logistics regression tests.

Results

The results of this study showed that the majority (75%) of the third trimester pregnant women who experience anemia chose midwives as a helper of labor. However, there are still 25% of pregnant women who choose a shaman. Dual logistics regression analysis shows that the knowledge factor (p = 0.014) and socio-cultural (p = 0.002) becomes a significant variable in influencing the selection of childbirth assistance. Attitude factor (p = 0.711), family support (p = 0.111), and socioeconomic (p = 0.397) did not show a significant effect.

Discussion

The results of this study indicate that socio-cultural knowledge and habits in society have an important role in the decision of pregnant women to choose childbirth assistance. Pregnant women with good knowledge and culture that support childbirth in health facilities have a probability of 99.40% to choose midwives. Conversely, pregnant women with lack of knowledge and culture that still believes in a dukun baby has a probability of 9.64% to choose a midwife.

Conclusion

This study provides an important picture of the factors that influence the choice of childbirth helpers in third trimester pregnant women who experience anemia. Increased knowledge and understanding of the dangers of anemia and the importance of childbirth in health facilities is the key to increasing the delivery rate handled by trained medical personnel and adequate facilities.

Recommendations

Based on the results of this study, it is recommended that the Head of the Hamparan Silver Puskesmas provide intensive and sustainable health education to pregnant women. This counseling must include information about the process of pregnancy, childbirth, and the dangers of anemia. Persuasive efforts also need to be done to change the habits of rural communities who still believe in childbirth assistance by a shaman. This is important to ensure the safety of mothers and infants, as well as improving the quality of maternal and child health services in the working area of the Hamparan Perak Health Center.

Limitations

This study has several limitations. Firstly, the sample size was small, which may limit the generalizability of the results. Secondly, the study only focused on pregnant women in the third trimester who experience anemia, which may not be representative of all pregnant women in the working area. Finally, the study only analyzed the factors that influence the choice of delivery helpers and did not explore other factors that may contribute to this decision.

Future Research Directions

Future research should aim to explore other factors that contribute to the choice of delivery helpers, such as the role of family and friends, the availability of healthcare services, and the cultural and socio-economic context of the community. Additionally, research should focus on developing effective interventions to improve the knowledge and understanding of pregnant women about the dangers of anemia and the importance of childbirth in health facilities.

References

[1] World Health Organization. (2019). Anemia in pregnancy.
[2] Centers for Disease Control and Prevention. (2020). Anemia in pregnancy.
[3] National Institute of Child Health and Human Development. (2020). Anemia in pregnancy.
[4] Hamparan Perak Puskesmas. (2012). Laporan Hasil Puskesmas Hamparan Perak.
[5] Deli Serdang Regency Health Office. (2013). Laporan Hasil Kesehatan Kabupaten Deli Serdang.
Q&A: Factors Affecting Trimester III Pregnant Women Anemia in Choosing Delivery Helpers in the 2013 Hamparan Perak Puskesmas Working Area

Frequently Asked Questions

Q: What is anemia in pregnancy?

A: Anemia in pregnancy is a condition characterized by a decrease in the number of red blood cells or the amount of hemoglobin in the blood. It can lead to fatigue, weakness, and shortness of breath, making it difficult for pregnant women to perform daily activities.

Q: Why is anemia in pregnancy a concern?

A: Anemia in pregnancy can increase the risk of preterm labor, low birth weight, and even death. It is essential for pregnant women to receive proper treatment and care to prevent these complications.

Q: What are the factors that influence the choice of delivery helpers in third trimester pregnant women who experience anemia?

A: The results of this study show that the knowledge factor (p = 0.014) and socio-cultural (p = 0.002) are significant variables in influencing the selection of childbirth assistance. Attitude factor (p = 0.711), family support (p = 0.111), and socioeconomic (p = 0.397) did not show a significant effect.

Q: What is the role of knowledge in the choice of delivery helpers?

A: The study found that pregnant women with good knowledge and culture that support childbirth in health facilities have a probability of 99.40% to choose midwives. Conversely, pregnant women with lack of knowledge and culture that still believes in a dukun baby has a probability of 9.64% to choose a midwife.

Q: What is the significance of socio-cultural factors in the choice of delivery helpers?

A: The study highlights the importance of socio-cultural factors in the decision of pregnant women to choose childbirth assistance. Pregnant women who are influenced by their cultural and social environment are more likely to choose traditional birth attendants, such as infant shamans.

Q: What are the implications of this study for healthcare providers?

A: The study suggests that healthcare providers should focus on providing intensive and sustainable health education to pregnant women. This counseling should include information about the process of pregnancy, childbirth, and the dangers of anemia. Persuasive efforts should also be made to change the habits of rural communities who still believe in childbirth assistance by a shaman.

Q: What are the limitations of this study?

A: The study has several limitations, including a small sample size, which may limit the generalizability of the results. Additionally, the study only focused on pregnant women in the third trimester who experience anemia, which may not be representative of all pregnant women in the working area.

Q: What are the future research directions for this study?

A: Future research should aim to explore other factors that contribute to the choice of delivery helpers, such as the role of family and friends, the availability of healthcare services, and the cultural and socio-economic context of the community. Additionally, research should focus on developing effective interventions to improve the knowledge and understanding of pregnant women about the dangers of anemia and the importance of childbirth in health facilities.

Q: What are the recommendations for healthcare providers based on this study?

A: The study recommends that healthcare providers provide intensive and sustainable health education to pregnant women. This counseling should include information about the process of pregnancy, childbirth, and the dangers of anemia. Persuasive efforts should also be made to change the habits of rural communities who still believe in childbirth assistance by a shaman.

Q: What are the implications of this study for policy makers?

A: The study suggests that policy makers should focus on improving access to healthcare services, particularly in rural areas. Additionally, policy makers should develop effective interventions to improve the knowledge and understanding of pregnant women about the dangers of anemia and the importance of childbirth in health facilities.